Organization · NPI-2
My Home Doctor, LLC
Technician, Attendant Care Provider · Coral Gables, FL
NPI number1902099104
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1902099104
- Entity type
- Organization (NPI-2)
- Legal business name
- My Home Doctor, LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2007
- Certification date
- Jul 25, 2023
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 146D00000X | Personal Emergency Response Attendant | – | – | |
| 207P00000X | Emergency Medicine | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1430 S. Dixie HighwaySuite 304
Coral Gables, FL 33146
Phone 888-696-4322
Mailing address
1430 S. Dixie HighwaySuite 304
Coral Gables, FL 33146
Phone 888-696-4322 · Fax 786-228-0927
Authorized official
Mark E. Price
President
3057942584
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